Interconnected Systems Framework PA PBS Network Professional Learning Community Webinar #2

1. Interconnected Systems Framework PA PBS NetworkProfessional Learning CommunityWebinar #2 March 14, 2017

2. Agenda • Follow up since 2/14 webinar • CIU 10 Examples • Bellefonte Area School District • Keystone Central School District • Resources

3. Follow Up from Last Time • Questions, feedback, comments • ISF Implementation Inventory • Chicora Elementary – will be sharing on next webinar!

4. Please Share • One item you took from last two webinars back to your site for discussion or follow up • One way you have identified you will use this PLC to advance the goals of your project • One question you would like addressed today

5. A Structure and process for education and mental health systems to interact in most effective and efficient way. guided by key stakeholders in education and mental health/community systems who have the authority to reallocate resources, change role and function of staff, and change policy. An Interconnected Systems Framework

6. Core Features Aligned • Effective teams that include community mental health providers, family/youth • Data based decision making • Formal processes for the selection and implementation of evidence based practices (EBP) • Early access through use of comprehensive screening • Rigorous progress-monitoring for both fidelity and effectiveness • Ongoing coaching at both the systems and practices level.

7. Example of Work Flow Checklist • Select District and Schools • Form or Expand District Team (Workgroup of existing team?) • Membership • Establish Operating Procedures • Conduct Resource Mapping of current programs/initiatives/teams • Identify gaps/needs • Assess staff utilization • Examine organizational barriers • Establish priority- measureable outcomes • Develop Evaluation Plan • District and School Level • Tools Identified • Economic Benefits • Develop Integrated Action plan • Identification of Formal Process for Selecting EBP’s • System for Screening • Communication and Dissemination Plan • Write MOU- Determine who will implement the plan

8. CIU 10ISF Facilitator – Dawn MossBellefonte Area School DistrictKeystone Central School District

9. Bellefonte Area School District Fall 2008 District received a School Based Behavior Health Grant to establish PBIS in Bellefonte Elementary and Bellefonte Middle School. Continued to scale implementation into other buildings within the district Fall 2012-13 Pilot site for universal screeners trained with Kathleen Lane. Pilot site for stop/walk/talk training with Scott Ross. Banner Status is awarded to all schools within the district. 2016 Bellefonte Elementary and Bellefonte Middle School recognized for fidelity at Tier 2.

10. Bellefonte Area School District 2012-2013 Established District Leadership Team • Improved Communication. • Increased Superintendent Awareness of PBIS and Social/Emotional needs of Students. • Improved Data Collection and Tracking Systems. • Provided format to have discussions that the data generated from the universal screeners and to adopt evidence base practices district wide. • Built a Foundation for Interconnected Systems Framework. 2015-2016 Interconnected Systems Framework • District Community Leadership Team.

11. Universal Screening – initial project Student Risk Screening Scale (SRSS) • Completed in spreadsheet format • Students rated on 14 indicators Social Skills Improvement System (SSIS) • Completed by paper and pencil, then needed to be in putted into spreadsheet. • Identified larger member of students due to academic components. The screeners identified the same students in need. District decided to use the SRSS, then moved to SRSS - IE

12. How do we use this information to help with decision making? • Once SRSS – IE was used, it became evident that buildings needed additional resources and interventions in order to meet address students with internalizing concerns • This led to dialogue at the DCLT on how to enhance continuum of interventions with community mental health partners • Community mental health providers were able to commit clinicians and other staff to join building level team meetings to review data, select interventions, and enhance continuum

13. Getting Started with ISF • Overview with district and community partners • Began with resource mapping and action planning • Have identified demonstration schools for initial training during 2016-17 school year • Schools completed ISF II to gather baseline data and for action planning

14. Bellefonte Middle School

17. Next steps • Develop action plan with school • Highlight those areas indicated in “red” • Primarily focus on Tier One areas • Align building level training to focus on items in action plan • Working with community partners on moving MH Agency clinicians from co-located model to ISF model

18. Bellefonte ElementaryKaren Krisch • SY 2016-17 – three days of training on implementing core features at building level • Developing action plan to include collaborative partners and existing resources • Youth Service Bureau • CASSP • UCBH – MH Provider (Outpatient +)

19. Bellefonte Elementary • Other action items include • Integration of SAP and Tier 2 • Youth Mental Health First Aid training • Big Brother/Big Sister Program • Encourage community businesses to adopt school-wide expectations and use acknowledgement (tokens/tickets) • Potential new position to support social, emotional, and behavioral continuum

20. Discussion • Questions or comments for Karen – Bellefonte example

21. Keystone Central School District • County (Clinton) district of approximately 1,000 square miles…we bus around 8,000 miles per day • Two high schools (30 miles apart), 2 middle schools, 6 elementary schools • 4,024 students and over 600 employees (the largest employer in the county) • Economically Disadvantaged numbers range from 55% to 84% in our elementary schools • We house and run our own Career and Technical Center and On-line Learning Program

22. Single System of DeliveryWhy We Decided to Adopt ISF: • Strong Leadership Team and involvement with Schoolwide Positive Behavior • All schools in the district participate; 3 received Banner Status in 2015, 4 more in 2016 • We have involvement with many agencies, but the “right hand doesn’t always know what the left hand is doing” • The Interconnected Systems Framework gave us a vehicle to get the decision makers to the table to talk about how we can better collaborate and work together differently to support students and families

23. Other decision points • Beginning Tier Two Implementation • CSBBH Team started in fall of this year • Have a community data point around substance abuse and use among both students and families

24. Getting Started • We got support from the Leadership Team to move ahead and asked them who they felt should be invited to the table • An email was sent to various community agencies including the Infant Development Program, The Women’s Center, Children and Youth, Probation, various Mental Health providers, Drug and Alcohol prevention and counseling services, community drug/alcohol prevention groups, Lock Haven University, Lock Haven and Renovo YMCA, Clinton County Commissioners, Police agencies/Clinton County District Attorney, physicians, preschools, Head Start, Clinton County Economic Partnership, KCSD School Board President, and members of the Leadership Team for the district • We promised lunch…they came to the meeting!

25. Getting Started cont. • Discussion of moving beyond access • SAP Data on referrals and those connected to interventions within the community • Discussion of Early Childhood and School Age connections – education and mental health • Discussion of school and community data

26. How do the Key Messages support our efforts? • We need a Single System of Delivery in order to get everyone on the same page in such a large county with so many needs…also building support for the district and our children as the agencies have an understanding of and appreciation for the work in the buildings • Action plans “force” us to bring measurable goals to the table…we can’t just sit and admire the problems…we need action to solve them and importantly to determine if the interventions we put in place are successful

27. How do the Key Messages support our efforts? (continued) • Keep us focused on the idea that mental health is for all…not just those struggling or identified with problems…ALL students need wellness and positive life skills…a proactive effort by dealing with manageable issues now before they become huge issues later • Helps us to select a few evidence-based practices that will be implemented across the district with fidelity…rather than “pockets” of good stuff that aren’t sustained by a systems effort • Screening efforts can positively impact all students and this data can further support programs and planning

28. Moving forward • All agencies are overwhelmed by the needs in our community…there is no doubt we have to work together if any of us are going to be successful • The communication has already brought to light how little we sometimes know about one another…and how important it is that we become better acquainted with what our agencies and programs have to offer • This communication has opened lines for better problem solving and a “we’re all in this together” mentality

29. 2017-18 • Two buildings in CIU demonstration project • Keystone Cares “connection” • Action item developed from 2016-17 DCLT planning • Family Engagement and Participation • Facebook page – reinforcement/connection

30. Keystone Cares • Clinton County Offices of Children and Youth, Courts, District Attorney, and Probation • Mission to offer multi-agency effort to focus on practices that will make life better for children and families • Monthly themes throughout school year – face to face activities and social media

31. Keystone Cares • September – “What Are You Reading?” • October – “Say No To Drugs” (Red Ribbon) • November – “No Bullying Allowed” • December – “Charity and Giving” • January – “Attendance Counts” • February – “Emphasis on Family” • March – “Get Active, Be Healthy” • April – “Build a Future: Study, Learn, Succeed” • May – “Mental Health Awareness”

32. Social Media Example • Facebook page – • Asked families to post comments about how they they spend time together as a family • Families who posted had their names entered into a drawing • Winners received board games as prizes

33. Discussion • Questions or comments about KCSD example

34. ISF Implementation Inventory

35. Purpose of ISF Implementation Inventory • To assist school and community partners in their installation and implementation of ISF • To assess baseline and/or ongoing implementation progress of critical ISF features • To inform action planning that advances and enhances ISF implementation • To measure ISF implementation fidelity

36. ISF Implementation Inventory: Tiered Domains

37. ISF Implementation Inventory Report Card • Percent of implementation fidelity is graphed • Graphed by tier and assessment time point

38. ISF Implementation Inventory Report Card Item to consider for action planning to create immediate change Items will already be highlighted based on scoring by the ISF research team. Schools will be encouraged to review highlights for action planning Item to consider for action planning but may need additional time/more intensive system changes for score improvement Tier implementation score

39. Items will be pre-sorted by implementation level and tier Supports action planning ISF Implementation Inventory Report Card Use this row for quick comparison of implementation across tiers Use this row for quick comparison of item responses and action planning. Refer to previous report pages for actual items.

40. Process for Completion • Need an email from district or building administrator for consent – by ? • A link will be sent from USC or UF Research Team – individual completion – by • A report card will be generated within two weeks – by

41. Next Steps • Identify action steps for your sites • What would be helpful for next time? • How can we best support you?

42. Resources • New eBook on Family Engagement • Available at www.pbis.org • www.papbs.org - ISF page • www.midwestpbis.org - ISF page

43. PBIS National Leadership Forum September 28 – 29 Hilton, Downtown Chicago “PBIS: Starting, Scaling, and Sustaining” • 75 different breakout sessions – including a strand on mental health integration • National Trainers and Exemplars • 19 Roundtable/Discussions • Networking Poster Session

44. www.pbis.org

45. www.pbis.org/mentalhealth

48. Thank You! Kelly Perales Kelly.perales@midwestpbis.org 717-770-9365